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Chamomile

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Massage Therapy

Client Intake Form

Please answer the questions below.

How did you learn about us?
Have you recceived massage therapy or body work before?
Are you on any medication?
Do you exercise?

Please mark any of the following conditions you may currently have.

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I understand that massage therapy is for the purpose of stress reduction, relief from muscular tension or spasm, or for increasing circulation. I understand that the massage therapist does not diagnose illness, disease or any other physical or mental disorder. The massage therapist does not perscribe medical treatment nor perform spinal manipulations. I will inform the therapist of my current condition at the time of each visit

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Contact Us

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Opening Hours

Monday- 9am till 8:30pm

Tuesday-9am till 8:30pm

Friday- 9am till 8:30pm

Call 

07921013571

Email 

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